1023237856 NPI number — CHARLES L COX PHD PA

Table of content: (NPI 1023237856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023237856 NPI number — CHARLES L COX PHD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHARLES L COX PHD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023237856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 SUGAR CREEK CENTER BLVD
Provider Second Line Business Mailing Address:
STE 250
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-3662
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-265-4566
Provider Business Mailing Address Fax Number:
281-265-5127

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 SUGAR CREEK CENTER BLVD
Provider Second Line Business Practice Location Address:
STE 250
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-3662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-265-4566
Provider Business Practice Location Address Fax Number:
281-265-5127
Provider Enumeration Date:
04/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COX
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
LEONARD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-265-4566

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  21710 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0033PN . This is a "BLUE CROSS GROUP NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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